| NPI | 1851716245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HUTCHINSON Owner/Psychologist 612-223-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5660) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2021-08-17 |