| NPI | 1235864844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTALYN HORI-WILSON Owner/Clinical Director 801-663-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |