| NPI | 1306621933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA ROGERS Speech Language Pathologist 651-746-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |