| NPI | 1255528329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE JEAN IPSEN President/Psychotherapist 612-377-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN LICSW 2075) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |