| NPI | 1528850930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E YOUNG Speech Language Pathologist 248-417-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |