| NPI | 1144875220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M WASSENHOVE Licensed Mental Health Counselor 563-265-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |