| NPI | 1861895435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MIA KERNO Owner 612-214-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 13628) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |