| NPI | 1518334119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HEITZMANN President 920-698-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5630125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 5624125) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |