| NPI | 1053650028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIE PACYGA ROUTT Owner 651-214-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1173) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |