| NPI | 1861931131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE S OLSON Psychologist 515-292-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IA 076712) |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2019-07-17 |