| NPI | 1306363502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MAE LANDRY Owner/ Slp 208-515-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2915) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |