| NPI | 1851452908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE R. WYNNE Owner Licensed Psychologist 763-546-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 1876) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-11-25 |