| NPI | 1407363690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BERNT Owner 208-243-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-6437) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-10-03 |