| NPI | 1063731586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY ANNE KUEHFUSS Owner 208-631-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202443) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2025-10-23 |