| NPI | 1225929896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ROSE DIETZ Owner/Clinical Psychotherapist 651-302-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |