NPI | 1033996236 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LYNN SHELDEN Owner/Therapist 208-704-0342 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-17 |