| NPI | 1114256294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA DWYER Owner 651-270-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303027) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2022-03-03 |