| NPI | 1932575594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE JOHNSTON Therapist 612-440-5707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20602) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |