| NPI | 1467025965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERREKA J WALTON Owner/Professional Counselor 920-872-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |