| NPI | 1992132732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE WHEELER Psychotherapist 507-316-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00487) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |