| NPI | 1417188376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTE MAGYAR JOHNSON President 952-404-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP2862) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |