| NPI | 1508252719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HOLMBERG Owner 763-607-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2382) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |