| NPI | 1245628866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY KIM BARRUS Clinical Therapist/Owner 801-900-3765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 70870873501) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |