| NPI | 1346459260 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KATHLEEN MARY HENRY Licensed Marriage And Fam Therapist 651-438-2680  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 0639)  | 
| Enumeration Date | 2007-05-21 | 
| Last Update Date | 2020-08-22 |