| NPI | 1558730119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA EIMERS Mental Health Provider 920-988-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5556125) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |