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 |