| NPI | 1043049240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BUDURIS Licensed Psychologist 541-215-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |