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 |