| NPI | 1417107590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MICHELLE LAWNICZAK Owner/Psychotherapist 920-338-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WI 2760-125) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |