| NPI | 1679020226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANESH PATEL Psychologist 612-787-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5711) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |