| NPI | 1154852663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY K. BRUNSGAARD Sole Owner 507-254-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7902-123) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |