| NPI | 1760884985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON PAIGE HAWKINSON L.P. 651-304-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5002) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2018-03-17 |