| NPI | 1578385084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA GENDREAU Speech Language Pathologist 425-298-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |