| NPI | 1336750785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY A STEVENSON Licensed Professional Counselor 612-743-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |