| NPI | 1609250067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DUDLAR Owner 248-214-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002778) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |