| NPI | 1184920753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN B DAHL Licensed Psychologist/Owner 612-599-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2014-05-29 |