| NPI | 1730539305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA CONLIN Owner 651-303-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |