| NPI | 1922587344 |
|---|---|
| Former Name | TERAH HOMOLKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10112) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5095-154) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-01-11 |