| NPI | 1841850849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY E SOELDNER President 920-683-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |