| NPI | 1548790215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LYNN GERLING President And Licensed Psychologist 952-217-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP5808) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-11-24 |