| NPI | 1669798971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY PIERCE Owner/Manager 208-233-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SPL1359) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |