| NPI | 1285099846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT E NABERS Owner 801-476-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 30838252501) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2020-09-09 |