| NPI | 1265654453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHARLES LOE Owner Therapist 507-354-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00055) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |