| NPI | 1174211155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA HINDE Speech Language Pathologist 616-307-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |