| NPI | 1659014561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE RICHARDSON Speech Language Pathologist 248-302-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |