| NPI | 1215397666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE LANCE Owner/Speech Language Pathologist 208-604-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2171) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2025-11-22 |