| NPI | 1316405202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL M BECKER-WARNER Licensed Psychologist 218-428-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-09 |