| NPI | 1093146037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA K COOK Owner/Therapist 651-317-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2483) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 2483) |
| 101YM0800X Counselor, Mental Health (Licence: MN 2483) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-04-19 |