| NPI | 1194101212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA FAYE PHILLIPS President 612-597-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2491) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |