| NPI | 1528429263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA QUALLS ROBERTSON CEO 208-869-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2606) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |