NPI | 1609113083 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI MARIE KAMISH-BUSHINSKI Director 651-303-0534 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2068) |
Enumeration Date | 2013-01-06 |
Last Update Date | 2013-01-06 |