| NPI | 1669796058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SKOOG KILDAHL Psychologist 612-272-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP1384) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-16 |