| NPI | 1811506868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LIPSON Speech Language Pathologist 248-910-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |