| NPI | 1962807529 |
|---|---|
| Doing Business As | MICHELLE MIRANDA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MIRANDA Mental Health Counselor 503-970-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |