| NPI | 1194204115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LOWRY Owner/Therapist 801-899-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8597001-6004) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |