| NPI | 1316298847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SKY SMITH Psychotherapist 507-951-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20593) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |