| NPI | 1033508684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE IANNACCONE Mental Health Therapist/Owner 208-505-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2018-09-28 |