| NPI | 1275647604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAYE ONDICH President 952-545-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP1366) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |