NPI | 1417661836 |
---|---|
Former Name | BROOKE WIEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 16620) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 528533) |
235Z00000X Speech-Language Pathologist, (Licence: ND 2298) | |
Enumeration Date | 2023-01-10 |
Last Update Date | 2025-08-06 |