| NPI | 1770664997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE BRINKMAN CEO Owner 507-831-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3769) |
| Additional Taxonomies | 251S00000X (Licence: MN 830918-2-CDT) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |