| NPI | 1528491222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA HERBST HERBST Owner/ Psychotherapist 651-274-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN LPCC000556) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |