| NPI | 1720305261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI SMITH Marriage And Family Therapist 651-815-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |