| NPI | 1922347442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DARICE CENOVA Owner/Clinician 503-501-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 11955) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |