| NPI | 1245377886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE TENNISON Therapist 612-963-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1377) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |