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 |