| NPI | 1851767768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANDERS Owner/Psychologist 612-208-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5685) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |