| NPI | 1396310280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Speech Language Pathologist 208-866-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |