| NPI | 1811015829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BURELBACH Managing Member/Sole Proprietor 608-397-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6890123) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-03-17 |