| NPI | 1265559082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M. SULLIVAN Owner 406-556-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SP984) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |