| NPI | 1902464654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA CANNON Owner, Practioner 971-302-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-02-20 |