| NPI | 1457651044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE KREOFSKY Owner 952-929-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1814) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2011-03-29 |