| NPI | 1457829178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LEIBFRIED Licensing Professional Counselor 608-723-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2020-02-10 |