| NPI | 1629552674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEENA HOSLER Provider/Owner 248-214-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-09-16 |
| Last Update Date | 2018-09-16 |