| NPI | 1538708847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTINE BUSHARD Marriage And Family Therapist 541-226-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |