| NPI | 1790135713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUSAN JOHNSON Marriage And Family Therapist 612-210-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |