| NPI | 1477852812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LEA VANDALSEN President 360-292-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003281) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |