| NPI | 1174059356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRYAN ALLISON Owner 801-644-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8906663-3902) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |