| NPI | 1679234736 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SAMANTHA PRAUS Mental Health Therapist & Owner 507-668-1200 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2021-12-31 | 
| Last Update Date | 2021-12-31 |