| NPI | 1427432087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JO WESNER Owner, Psychotherapist 763-200-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17743) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |