| NPI | 1609885516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN GALLO Licensed Psychologist/Owner 763-546-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP2964) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |