| NPI | 1871044776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MAREE DAVIS Licensed Professional Counselor 208-870-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5417) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |