NPI | 1225183981 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE ANDERSON AAGARD President 218-634-1499 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP0390) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |