NPI | 1174111561 |
---|---|
Other Name | LIGHT MIND WELLNESS |
Entity Type | Organization |
Authorized Contact | JULIA PERRETTA Owner/Practitioner 503-926-9567 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-01-01 |
Last Update Date | 2021-02-15 |