| NPI | 1528432739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LEE KILLINGER Psychologist/Owner 608-707-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3310) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2023-11-28 |