| NPI | 1720465685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STEWARTSANDUSKY President 515-528-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 000368) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |