| NPI | 1346792231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY KATZ Clinical Mental Health Counselor 503-729-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4280) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |