| NPI | 1336205004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA KRISTA Owner, Speech Pathologist 763-416-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2023-11-22 |