| NPI | 1851949044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SHAW Speech Language Pathologist 989-878-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |