| NPI | 1265802920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLE BANGSUND Owner/Therapist 612-702-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6636) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |