| NPI | 1518010800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BONJEAN Clinic Director 414-273-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 603124) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |