| NPI | 1518978659 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH S BAUER Psychotherapist 414-536-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6932123) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |