| NPI | 1538407150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI ASTRID VALENTINE Owner 651-373-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2187) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |