| NPI | 1043379571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LYNN FISCHER Sole Proprietor 612-710-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 47326) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |