| NPI | 1356065502 |
|---|---|
| Other Name | LATRECE GAITHER, LLC |
| Entity Type | Organization |
| Authorized Contact | LATRECE GAITHER Owner/Provider 971-236-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |