| NPI | 1720329071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LOUISE NELSON Licensed Psychologist 218-940-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4209) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |