| NPI | 1538376041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONG LOR Licensed Therapist 651-246-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1286) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |