| NPI | 1912022336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN GRABER Office Manager 763-545-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP2761) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |