| NPI | 1750730610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER TAYLOR Speech Language Pathologist 612-597-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 890633400025) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |