NPI | 1619320009 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA MICHELE MARTIN Owner/Speech Language Pathologist 313-815-7916 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004267) |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |