NPI | 1902086713 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA BRASWELL DOSS Owner 360-943-1180 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL00001446) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2013-11-05 |