| NPI | 1700037389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA BOULSE Speech Language Pathologist / Owner 253-509-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA LL00004647) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |