| NPI | 1518358506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONETTE MARIE LIDDY Licensed Professional Counselor 414-429-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 244-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 244-125) |
| 104100000X Social Worker (Licence: WI 244-125) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |