| NPI | 1588090179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DIAZ Director 612-202-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 8141) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |