| NPI | 1861549016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED LILLY-TAYLOR Licensed Psychologist 612-929-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 1968) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 432) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |