| NPI | 1124165378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SCOTT FISHER Owner 319-472-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00118) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |