NPI | 1063731586 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTY ANNE KUEHFUSS Licensed Psychologist 208-631-5843 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ID PSY-202443) |
Enumeration Date | 2010-05-24 |
Last Update Date | 2021-07-09 |