| NPI | 1811234552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN VON TERSCH-HANNO Owner 712-239-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-02-07 |