| NPI | 1457112039 |
|---|---|
| Former Legal Business Name | THE CDA THERAPIST |
| Entity Type | Organization |
| Authorized Contact | CHELSEA BROUSE Co Founder 208-244-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-06-06 |