| NPI | 1285152645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA REYNOLDS Therapist/Owner 563-275-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008256) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |