| NPI | 1962801761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA FALCONER Licensed Marriage Family Therapist 612-524-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2377) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-11-03 |