NPI | 1861871709 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY HEAGLE WARD Owner 612-876-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2548) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |