| NPI | 1558030148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY ELIZABETH DAMORE Business Owner And Therapist 612-741-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |