| NPI | 1477929438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN KELSON Therapist 651-329-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1181) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 898-124) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |