| NPI | 1922271022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJA M DAVID Licensed Psychologist 651-644-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 4499) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |