| NPI | 1356054423 |
|---|---|
| Doing Business As | JILL BREITBACH, PSYCHOLOGIST |
| Entity Type | Organization |
| Authorized Contact | JILL BREITBACH Owner 208-666-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-08-07 |