| NPI | 1568729358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WHALEN Licsw/Owner/Therapist 651-303-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20166) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |