| NPI | 1811210727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ADAMS BLUME Licensed Psychologist 612-819-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP0914) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |