| NPI | 1659244135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NICOLE BALTHAZAR Speech Language Pathologist 517-927-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |