| NPI | 1700305992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNETTE VERBOUT Owner 612-229-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2043) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |