| NPI | 1538245287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN GAFFEY Chief Manager/Psychologist 651-644-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3649) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |