| NPI | 1992061022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE VANDER WIELEN Owner 920-915-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7710-123) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-12-12 |