| NPI | 1467999136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOYCE PETERSEN Owner 612-636-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1251) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |