| NPI | 1437403862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M BALKE Licensed Professional Counselor 920-303-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3502-125) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |