| NPI | 1811225808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERENDINA M. NUMAN Licensed Psychologist 612-333-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN LP0955) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |