| NPI | 1851757686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE COQUILLETTE Partner 971-404-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3057) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2022-07-21 |