| NPI | 1376313742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SPENCER Owner/Therapist 385-330-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |