| NPI | 1750635611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARIELLA RIVERA Psychotherapist 612-396-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17718) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |