| NPI | 1386909281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE J OTIS Owner Marriage & Family Therapist 320-266-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2014-01-13 |