| NPI | 1942630728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA R LOPEZ-PETROVICH Owner 612-702-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2238) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |