NPI | 1417328808 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE HODGSON Office Manager 612-875-1552 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN MN5396) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN MN5609) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2022-04-26 |