| NPI | 1588316574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE SANNA Co Owner / Director 208-407-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |