| NPI | 1639789019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BOVEE Owner 218-522-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-11-19 |