| NPI | 1932265048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANDERSON Office Manager 701-746-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 995) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2013-07-11 |