| NPI | 1215626197 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JORDYN A KOSKI Owner And Mental Health Therapist 218-230-4529  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2023-05-05 | 
| Last Update Date | 2023-05-05 |