| NPI | 1235524521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN DIANA DRAAYER-THIBODEAU Therapist 952-334-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15185) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |