| NPI | 1487800470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNA D PATTERSON Owner/President 208-524-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-202117) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |