| NPI | 1679769343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE K JENSEN Licensed Professional Counselor 920-330-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3851-125) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |