| NPI | 1861737041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD WILLIAMS Principal/President 507-261-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP1315) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP5520) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |