| NPI | 1427425313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KAY PETERSON Owner/Licensed Psychologist 612-486-2956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5049) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-07-21 |