| 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 |