| NPI | 1659878742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY VREDENBURGH Owner 612-876-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2962) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-06-02 |