| NPI | 1639301310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KINZER Owner 612-701-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1575) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2017-04-05 |