| NPI | 1215697040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA HEAD Owner/Speech Language Pathologist 360-608-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-02-18 |