| NPI | 1134439276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA LYNNE JENSEN Co Owner 435-250-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6158205-6004) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |