| NPI | 1669834099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MARIE BUNKE Owner/Clinical Director 507-226-7963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12418) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP4160) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-05-09 |