| NPI | 1871070060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ELLEN RUTHERFORD Provider, Owner 360-279-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL00003509) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |