| NPI | 1598881559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN PEDERSON Owner 320-761-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1324) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |