| NPI | 1487938643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE KEIZER Licensed Psychologist 712-266-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001195) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-02-08 |