| NPI | 1861867251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA JANE MACKENZIE Clinical Psychologist 612-345-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4407) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |