| NPI | 1417491689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BUSSE Owner 612-219-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 01314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 01313) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2023-07-24 |