| NPI | 1285027045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KIMBERLY MOEN Owner 651-420-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 9248) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |