| NPI | 1417312869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J ERBES Professional Counselor 262-701-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4565-125) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |