| NPI | 1861622110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN RICHARDSON Owner 507-645-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2010-01-07 |