| NPI | 1265856801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BETH FUERST Owner 651-714-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5261) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LMFT 1379) |
| 103TC1900X Psychologist, Counseling (Licence: MN LP5109) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2015-01-07 |