NPI | 1487091658 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY BARR RUTH Owner/Member 608-669-7981 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 2804-57) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-05-29 |