| NPI | 1780100719 |
|---|---|
| Former Legal Business Name | RACHEL CLARK |
| Entity Type | Organization |
| Authorized Contact | RACHEL CLARK Owner, Office Manager 208-419-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-07-31 |