| NPI | 1649628207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY CAYWOOD Owner 208-830-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2399) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-10-27 |