| NPI | 1134572522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA BENSON LOCKMAN CEO 952-232-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5311) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 106H00000X Marriage & Family Therapist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103T00000X Psychologist | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-31 |