| NPI | 1063788602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MERCEDES LOPEZ-DAWSON Owner/Clinic Director 515-802-2487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00763) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |