| NPI | 1003577974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE E BEILBY Marriage And Family Therapist 651-482-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |