| NPI | 1437466828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH SHAFFER President 612-387-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3749) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-14 |