| NPI | 1235945635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA NICHOLS Marriage And Family Therapist 763-516-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |