| NPI | 1093097503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA L. KELLY Owner/Certified Slp 206-299-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60163144) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2015-09-10 |