| NPI | 1982479093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN NICOLE HENLEY Speech Language Pathologist 360-358-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-12-01 |