| NPI | 1588793723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMINE MOIDEEN President 651-484-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3742) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |