| NPI | 1194940908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI CAROL KLEIN President 801-350-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 1139762501) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-23 |