| NPI | 1154477693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCEY KENNEDY Owner 208-672-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1314) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |