| NPI | 1497535405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY RENSTROM Owner/Speech Language Pathologist 651-335-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |