| NPI | 1639307622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ENGLUND HEFFRON Licensed Psychologist 651-224-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN lp 4508) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |