| NPI | 1073773651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE MEULEMANS Office Manager 651-307-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1354) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-07-22 |