| NPI | 1790986669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE LYNN MEIXNER Psychotherapist, Owner 651-287-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 4649) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 613) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-04-14 |