| NPI | 1548937337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POND Manager 971-248-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-06-13 |