| NPI | 1073303483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA TCHALLA Marriage And Family Therapist 763-443-9537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |