| NPI | 1558731422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J JOHNSON Psychotherapist 612-747-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19191) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2023-03-29 |