| NPI | 1235271131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STEVENS Partner 208-255-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-335) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT-2843) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |