| NPI | 1366542425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY T. WEISMAN-LEHRER Clinic Manager 612-798-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 802831) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 802831) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |