| NPI | 1689682155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH BOEKHOFF Owner Sole Proprietor 651-647-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1197) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 334) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |