| NPI | 1275412165 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | JASON MARK WEBB Owner 801-400-9526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |