| NPI | 1841936002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY LEIGH DOMANN-SCHOLZ Counselor And Owner 503-407-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |