| NPI | 1073680583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN TOLLEFSON President 763-295-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP2285) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |