| NPI | 1497160782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L ROTACH Professional Clinical Counselor 651-482-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00300) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |