| NPI | 1184240103 |
|---|---|
| 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 |