| NPI | 1699811752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY SUE GIESBRECHT L.P. 651-485-2842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3788) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-10-25 |