| NPI | 1699222604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN HECHT Owner 414-803-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MN LP6030) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |