| NPI | 1831883461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA BACCELLIERI Professional Counselor Associate 971-226-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |