NPI | 1376501254 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER RUTH ELTON Co Owner 612-308-6132 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 331962) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2016-09-06 |