NPI | 1275819914 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA SAMLASKA Owner/Operator 651-317-3656 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5411) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |