| NPI | 1174312474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA K ANTHONY Marriage & Family Therapist 503-208-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |