NPI | 1285665877 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA L MARSHALL Owner 507-388-8114 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP3219) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2011-03-04 |