| NPI | 1457175267 |
|---|---|
| Doing Business As | THE COMPASSION BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WAGNER CEO 952-295-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2024-11-09 |