| NPI | 1740279355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A BADER-SANDS Office Manager 319-378-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2008-04-20 |