| NPI | 1104241462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH CONNER Owner/Psychologist 612-584-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 3985) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |