| NPI | 1780447565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY SPAENI Marriage And Family Therapist 608-305-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |