| NPI | 1295890192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZMILA AMUNDSON President 651-481-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |