| NPI | 1881206647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHAN ELIZABETH BOESE Speech Therapist 605-759-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |