| NPI | 1366908204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENA ANSARI Speech Language Pathologist 248-426-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |