| NPI | 1255488409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA D'ANGELO Lic. Marriage And Family Therapist 952-432-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 07587) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 0768) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-02-17 |