| NPI | 1003756644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MILLER Licensed Professional Counselor 208-420-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |