| NPI | 1851165575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA SHANDA MARIA TOLEFREE Licensed Professional Counselor 262-358-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2026-07-28 |