| NPI | 1003757006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAINA KAGANOVICH Speech Language Pathologist 763-200-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-04-03 |