| NPI | 1538541347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL CLANCY Co Director Of Ppsm 612-548-4266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1356) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |