| NPI | 1689186496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA R KING Speech Language Pathologist 651-734-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |