| NPI | 1619377595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SAMPSON Owner 319-290-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000320) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |