| NPI | 1366955254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY LYNNE BRECKE Therapist/Owner 651-206-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |