| NPI | 1013099191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RACHEL SCHUCHMAN Owner 952-835-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 778) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-11-15 |