| NPI | 1578075354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LARGAESPADA Principal 612-423-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 4430) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2027) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2018-03-17 |