| NPI | 1992110910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE JANE BAD HEART BULL Owner 320-291-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4453) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-12-12 |