NPI | 1659064293 |
---|---|
Doing Business As | OLD GROWTH HEALING |
Entity Type | Organization |
Authorized Contact | KATIE JACOBI Owner/Psychotherapist 952-457-3469 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-30 |