| NPI | 1780015511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA WRIGHT Co Owner 612-799-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1539) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1978) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |