| NPI | 1336642651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE ANN GORMAN Owner/Mental Health Professional 612-364-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1607) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |