| NPI | 1740013960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEA NATALIE VUE BENSON Clinic Director/Owner 651-387-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |