| NPI | 1558090738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J TOLTZIEN Director, Owner 608-520-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 221700000X Art Therapist | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-11-07 |