| NPI | 1144673807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA L. VOSBERG Lmft 320-493-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LMFT #1623) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |