| NPI | 1992225668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA SPLADY Psychotherapist 218-302-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19887) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2020-10-26 |