| NPI | 1427670488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESSA ELIZABETH LARSON CEO 612-208-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |