| NPI | 1831554641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SHIELDS Owner/Administrator/Therapist 360-820-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-06-02 |