| NPI | 1427833821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KJISTINA MALYON Executive Director/President 651-388-1022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2025-01-13 |