| NPI | 1780096198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L STILLMUNKES Marriage And Family Therapist 651-357-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2193) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |