| NPI | 1285024463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH YANG Licensed Clinical Psychologist 507-407-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008952) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-02-05 |