| NPI | 1902384639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN OLDAG Therapist/Owner 563-212-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 077411) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |