| NPI | 1457563942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KIM Owner 612-702-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MN 41955) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |