| NPI | 1104102375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN K NEGILSKI Owner 208-850-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1396) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |