| NPI | 1538893060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TRASK Owner/Speech Language Pathologist 605-209-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-02-16 |