| NPI | 1619344686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA NICOLE FRANCIS Owner 414-416-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WI 5572-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5572-125) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-01-08 |