| NPI | 1285080242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA S WIRTZ Owner 605-431-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 061) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |