| NPI | 1427575067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M. BRINKMAN Owner 612-720-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP3064) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |