| NPI | 1912242223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY K VICKERS Business Owner 701-572-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1036) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-11-26 |