| NPI | 1912617085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL AMMON Speech Language Pathologist 734-660-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |