| NPI | 1376233098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN KONWINSKI Speech Language Pathologist 616-826-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |