| NPI | 1609520204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHITA ERVIN Owner/CEO 608-201-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-15 |