| NPI | 1902993793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REENA JOSOFF Lcsw Owner 208-733-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-26792) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |