| NPI | 1073485546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA STEVENSON Owner/Practitioner 612-670-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |