| NPI | 1760119663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T. KAEL FRY Marriage And Family Therapist 608-234-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |