| NPI | 1184504615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY MARIE WHITE Marriage And Family Therapist 763-445-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |