| NPI | 1255052965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LINDSEY GONZALES Owner, Clinician 208-571-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2024-04-24 |