| NPI | 1407125354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL YVONNE LUND KREMER Clinical Social Worker 612-822-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12821) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |