| NPI | 1992920300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA BERTRAND President 920-437-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WI 1042) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2463-057) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |