| NPI | 1194171678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MATTHEWS Owner/Speech Language Pathologist 208-297-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2284) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1038) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |