| NPI | 1760250724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVINIA PAOLA MAGLIOCCO Professional Counselor 503-887-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225600000X Dance Therapist | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |