| NPI | 1730534272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BROOKE SJOSTROM Psychotherapist 208-691-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4347) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |