| NPI | 1235210865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE B. SHIFFLER President 208-201-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-378) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |