| NPI | 1275076564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MADSON Therapist 612-216-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2263) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |