| NPI | 1679263503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA RUBY AVALOS Speech Language Pathologist 509-263-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |