| NPI | 1457654188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTYNE ZACHARIAS Marriage And Family Therapist 507-491-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2239) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |