| NPI | 1962003707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MARIE KIEFER Child And Family Therapist Ii 262-994-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |