| NPI | 1336230713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN JOAN GORMAN President 612-676-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1500) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-04-03 |