NPI | 1124544630 |
---|---|
Entity Type | Organization |
Authorized Contact | TREASYRI WILLIAMS Speech Language Pathologist 248-747-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146013575) |
Enumeration Date | 2017-08-16 |
Last Update Date | 2017-08-16 |