| NPI | 1043728751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE LINDA NEUERBURG Marriage And Family Therapist 218-721-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X (Licence: MN 2443) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2023-05-14 |