| NPI | 1134677123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY SHAPIRO Speech Language Pathologist 248-702-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005101) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |