| 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 |