| NPI | 1043649080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BONIFAY Licensed Mental Health Therapist 503-679-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2836) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2023-03-08 |