| NPI | 1285177402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BLONDELL Owner/Therapist 612-245-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1658) |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |