| NPI | 1447744370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FLEMING Licensed Clinical Psychologist 651-470-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004809) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |