| NPI | 1164967980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE ANNA MILLER Owner 952-292-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3355) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |