| NPI | 1215549902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WALDIE Speech Language Pathologist 248-860-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2022-10-18 |