| NPI | 1528105624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MCKEE Doctor Of Psychology 208-201-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WY 344) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |