| NPI | 1053796912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DANNIELLE JOHNSON Marriage And Family Therapist 952-607-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2912) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |