| NPI | 1447980131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE R KRUEGER Owner/Lcsw 701-818-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-02-06 |