| NPI | 1760350540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE WILT Owner/Operator/Psychotherapist 971-242-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-11-14 |