| NPI | 1588200588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M PONSIOEN Sole Owner & Provider 541-653-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-02-09 |