| NPI | 1265072482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CHRISTINE PETERSON Marriage & Family Therapist 651-216-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |