| NPI | 1902023435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN MILLER Psychotherapist 608-233-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2015-03-05 |