NPI | 1740542059 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA MARIE BAUX Owner/CEO 360-473-7877 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12041536) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-06-12 |