| NPI | 1861874273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE SHAY JALMA Licensed Psychologist/President 612-669-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5314) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |