NPI | 1992465793 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY JEAN GIMBEL Owner 763-691-3793 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-12-21 |
Last Update Date | 2021-12-21 |