| NPI | 1518709633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BORAAS Owner 651-983-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-03-16 |