| NPI | 1720351158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ANDERSON Psychotherapist 651-621-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN LICSW 1288) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |