| NPI | 1457612673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA L. HJELMBERG Lmft 651-270-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1663) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2016-08-11 |