| NPI | 1952056061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA WEISBROD Speech Language Pathologist 810-221-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-04-05 |