| NPI | 1962821520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KAY PETERSON Owner/Psychologist 612-486-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5049) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-07-21 |