| NPI | 1114275492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN'ELLE NELSON Speech Language Pathologist 313-506-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |