| NPI | 1093346777 |
|---|---|
| Doing Business As | SPROUT THERAPY PDX |
| Entity Type | Organization |
| Authorized Contact | EMELIE ANGELINA BLANK Owner & Lead Clinican 971-319-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |