| NPI | 1013201086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA VOLLER Owner/Manager 406-370-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SP 1075) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |