| NPI | 1518750181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA RAE ERICKSON Marriage And Family Therapist 612-440-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2026-06-04 |