NPI | 1588954564 |
---|---|
Entity Type | Organization |
Authorized Contact | KALLI KAY MATSUHASHI Owner/President 651-882-6234 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5196) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MN 00163) |
106H00000X Marriage & Family Therapist (Licence: MN 2292) | |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |