| NPI | 1912625583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BETH MAHOWALD-HORNER Owner/Clinical Psychologist 952-395-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |