| NPI | 1952579385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA L THOMAS President 612-710-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 3025) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MN 3025) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |