| NPI | 1407012909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JEANNE SHARP Owner 208-344-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW26692) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |