| NPI | 1073980082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH A DOLL Psychotherapist 612-308-3575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 247) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |