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 |