| NPI | 1568528156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J. DETJEN Lic. Marriage And Family Therapist 507-581-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1399) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |