| NPI | 1043614159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MURPHY President 208-420-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP1450) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |