| NPI | 1407907397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAUL SIMONSON President Psychologist 763-639-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 3450) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |