| NPI | 1679311898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELE THOMAS Speech Language Pathologist 208-340-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-07-20 |