| NPI | 1811597420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA C HAYNES Licensed Professional Counselor 414-429-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |