| NPI | 1316348493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELLENWOOD Owner 503-609-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2846) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |