| NPI | 1730049180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA RIVERA Owner/Mental Health Therapist 612-567-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-26 |