| NPI | 1538483946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOHN SORENSEN Professional Counselor 612-703-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LPC00676) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |