| NPI | 1972852648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PHILLIP ROSIER Owner 612-701-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1076) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |