| NPI | 1629155213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN L SCHOENLEBER Owner 651-645-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 0781) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |