| NPI | 1770365454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH BENNETT Owner 319-721-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-11-03 |