| NPI | 1043512593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMA DERAKHSHANI SEAVER Therapist 651-259-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LMFT 1541) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |