| NPI | 1487156618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE MERCER Psychologist 612-669-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MN LP5315) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |