| NPI | 1083332886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA CLAUDIA THEODORA ARIAS Speech Language Pathologist 208-820-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2023-03-08 |