| NPI | 1891375432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLER SIMONE CLARK-CONDON Owner/ Psychotherapist 608-213-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-03-29 |