| NPI | 1558566752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DAVIS Owner 253-265-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003261) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |