| NPI | 1013981935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EARLE-BOYER Clinical Director 801-478-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |