NPI | 1811363252 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSSA ANN WRIGHT Owner, Provider 651-330-3434 |
Organization Subpart ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1978) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1539) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2015-08-20 |