| NPI | 1265937551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOBBS Owner 208-761-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2638) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |