| NPI | 1902154388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BOL Owner/Speech Language Pathologist 269-870-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |