| NPI | 1497478838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAI Y GUNTY Owner 651-212-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-06-10 |