NPI | 1073854881 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA SUTHERLAND Speech Language Pathologist 313-919-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000353) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2013-03-05 |