| NPI | 1457459273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M FROEHLING Organizer Owner 651-645-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4376) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |