| NPI | 1639574999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANGELICA KELLER Psychotherapist 651-214-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 16155) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |