| NPI | 1174129217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA INGHAM Speech Language Pathologist 253-651-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |