| NPI | 1447093869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY EVANS Owner/Director 248-629-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-09-10 |