| NPI | 1780376988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JURADO Speech Language Pathologist 651-246-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-07-19 |