| NPI | 1457189359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY SUE LIANE Owner & Licensed Psychologist 218-821-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |