| NPI | 1336352665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE H. BISANZ Psychotherapist 952-922-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 09919) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |