NPI | 1992203061 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN BETH WELTER Licensed Psychologist/Owner 319-480-9694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X (Licence: IA 079523) |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-01-24 |