| NPI | 1740637750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE HOLT Mental Health Counselor 612-889-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 21742) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2021-09-19 |