| NPI | 1639603541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RIPPEL Psychologist 612-799-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5065) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |