| NPI | 1982926515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNN SANDER President 651-331-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP 4437) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |