| NPI | 1083114276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI MOSER Owner 801-516-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8220594-3902) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |