| NPI | 1801148077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNE ROOT President 208-344-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: ID PSY-202658) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2018-07-26 |