| NPI | 1558735779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE BALFE-GROH Managing Member 651-247-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5097) |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2018-02-27 |