| NPI | 1851764310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LEA STEPHENS Owner/Member 360-273-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003281) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |