| NPI | 1376224113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARALYN RUBSAM Speech Language Pathologist 517-225-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-09-25 |