| NPI | 1841276094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH B. STELLER Owner 612-293-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |