| NPI | 1073231148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA JESSOP Owner 801-888-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-05-14 |