| NPI | 1861702011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAHEALANI PALLER Owner 208-365-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-29299) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-26 |