| NPI | 1740698604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CLAUW Owner/Director 586-484-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-09-17 |