| NPI | 1932502804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLI BRAUN KODY Owner/Licensed Psychologist 651-272-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 5404) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP 5404) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP 5404) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2022-03-06 |