| NPI | 1578076865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A JACKSON Owner/Counsellor 208-794-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 33837) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2024-03-07 |