NPI | 1114225828 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY SEARS BERVEN Owner 651-293-3923 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 06845) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2025-06-04 |