| NPI | 1841509247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA QUINTELA-SMITH Licensed Psychologist 612-240-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3746) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2010-10-02 |