| NPI | 1720464753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE NAUGHTON Office Manager 507-297-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 278285) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2021-05-17 |