| NPI | 1649780362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANNE FLAGET-GREENER Clinical Psychologist 651-234-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5625) |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2023-10-30 |