| NPI | 1205066198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY N. LAM Clinical Psychologist 208-283-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY 202366) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2021-01-21 |