NPI | 1518970458 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER JANE JUDSON-HARMS President 641-330-0901 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 01508) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 00969) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2025-09-11 |