NPI | 1497965578 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK F YAMA President 208-885-7376 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC-3536) |
Additional Taxonomies | 103T00000X Psychologist (Licence: ID PSY-204) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |