| NPI | 1528145281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GREEN Licenseed Psychologist 763-476-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP0148) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |