| NPI | 1750589925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYN WINCELL Owner/Psychotherapist 763-257-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 12249) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-08-12 |