| NPI | 1881973048 |
|---|---|
| Former Name | STEPHANIE SUE RODKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1257) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9076) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2015-06-22 |