| NPI | 1285240374 |
|---|---|
| Doing Business As | SOUL THERAPIST |
| Entity Type | Organization |
| Authorized Contact | DIANA MICHELLE SMITH Owner 208-740-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |