| NPI | 1194054908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE P MILLER Member/Manager 515-576-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 59) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 18) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |