| NPI | 1700094315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH COOK Psychotherapist 218-722-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12791) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-19 |