| NPI | 1427571256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KAY ERICKSON Owner 651-485-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17401) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-05-13 |