| NPI | 1568833325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY BENOIT PERRY Owner 612-432-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00554) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2017-01-03 |