NPI | 1518371509 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA ANN GOMOLUCH Speech Language Pathologist 248-893-6192 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000940) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2019-10-25 |