| NPI | 1841700077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLSON Owner 515-720-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00227) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |