NPI | 1326212747 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA A INGO Owner/President 253-592-9205 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004167) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |