| NPI | 1730231515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE K WOOLSEY Slp 701-740-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 344) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |