| NPI | 1447427349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN GRIDER Speech Language Pathologist 208-921-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1413) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |