| NPI | 1457121642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA SOFIA VEGA Licensed Professional Counselor 503-888-3679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |