NPI | 1629514054 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY JEAN BARANIK Speech Language Pathologist / Owner 248-514-4474 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001522) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2023-06-29 |