| NPI | 1295816445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M BENOIT President 612-850-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00132) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1373) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |