| NPI | 1477124261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE CONN Owner/Licensed Psychologist 971-250-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |