| NPI | 1134276298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA ANN KIMBER Therapist 801-216-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 52612143902) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |