| NPI | 1346759180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA VASKE Owner 651-329-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-10-23 |