| NPI | 1336809128 |
|---|---|
| Other Name | DANIEL E NOVAK, PHD, LCSW |
| Entity Type | Organization |
| Authorized Contact | DANIEL ELI NOVAK Psychotherapist 208-794-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-08-08 |