| NPI | 1538416771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN MORGAIN HALL Member/Manager 515-222-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001053) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |