| NPI | 1912290560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA THATCHER President 208-962-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT 2654) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |