| NPI | 1396467486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOOYEON LEE-GARLAND Director 515-860-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-03-14 |