| NPI | 1760815229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARIND P KNUTSON Licensed Psychologist 651-398-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5137) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |