| NPI | 1366178394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HANSEN Mental Health Therapist 971-373-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-10 |