| NPI | 1902501661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SHOEMAKER Owner 612-770-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |