NPI | 1528560877 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER CHRISTINE KUDSIN PARENT Owner 248-506-4915 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4918) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2018-03-02 |