| NPI | 1154623593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE FERNANDEZ NOBLES Licensed Psychologist 651-698-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP4435) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2020-06-08 |