| NPI | 1114609583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WILLIAM SANDERS Owner 801-921-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |