| NPI | 1902266786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY W BARBER Licensed Clinical Prof Counselor 414-688-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009512) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |