NPI | 1033505623 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE ROTHERMEL Owner 253-722-9714 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL00004320) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-04-09 |