| NPI | 1669917571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEARA BAKER Owner, Speech Langauge Pathologist 208-391-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP2395) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2020-05-12 |