NPI | 1841584695 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAY WIRTH Owner/Psychotherapist 608-577-4555 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 183-228) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-06-08 |