| NPI | 1043745532 |
|---|---|
| Other Name | ELEMENTAL COUPLE AND FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | VISHWANI RAM-SOUZA Co Owner 612-644-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI MFT-438) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: HI MFT-397) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-04-22 |