| NPI | 1942215421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN MORESCO-GONIU Owner/Clinic Director 262-347-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 1151-057) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-05-30 |