| NPI | 1184240103 | 
|---|---|
| Doing Business As | KATHERINE QUIE | 
| Entity Type | Organization | 
| Authorized Contact | KATHERINE QUIE Licensed Clinical Psychologist 651-675-6273  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2020-06-25 | 
| Last Update Date | 2020-06-25 |