| NPI | 1528602299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J TOLTZIEN Member/Art Therapist 608-520-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |