| NPI | 1497622112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ROSE TRYBA Owner 920-659-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2026-05-10 |