| NPI | 1376795666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI NORTON HULET President 208-523-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1461) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |