NPI | 1467050443 |
---|---|
Other Name | STAR |
Entity Type | Organization |
Authorized Contact | KRISTEN KESLER DESENA Owner/Speech Language Pathologist 248-703-9675 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |