| NPI | 1609253277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA C STILES Speech Language Pathologist 208-713-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2231) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2015-10-16 |