| NPI | 1548679814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ABIGAIL ROBINSON Licensed Psychologist 612-270-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN LP5328) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2023-08-29 |