| NPI | 1013253798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RAINES Owner 612-483-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |