| NPI | 1659645471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BURKE Speech Language Pathologist 734-709-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |