| NPI | 1871920579 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TRACY WILSON Director Of Specialized Services 509-543-6703  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: WA 235Z00000X)  | 
| Enumeration Date | 2013-09-26 | 
| Last Update Date | 2013-09-26 |