| NPI | 1568110203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE BRAVO Owner 971-218-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2023-12-15 |