NPI | 1427532910 |
---|---|
Doing Business As | THE PRACTICE OF BLOOMING |
Entity Type | Organization |
Authorized Contact | VIOLET VORLET Provider 503-468-9897 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |