| NPI | 1639875230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLI ALANNA BRAUN KODY Owner/Licensed Psychologist 651-272-9777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |