| NPI | 1235837709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSA POTTER Licensed Professional Counselor 208-519-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |