| NPI | 1811416670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ARLINE DILLY Licensed Psychologist 507-292-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |