| NPI | 1417220104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE VARGA Owner, Clinical Psychologist 651-243-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5296) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |