| NPI | 1922521186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELIZABETH JENNINGS Owner 414-931-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8136-123) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-05-15 |