| NPI | 1770801003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN L CASHMAN Executive Director 612-598-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 0089) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |