| NPI | 1306112040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA TISHKOFF Owner 206-306-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003279) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |