| NPI | 1104673151 |
|---|---|
| Doing Business As | WILD ROOTS COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | TONI STONE Owner/Therapist 612-361-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-06-06 |