| NPI | 1295171163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DAVIS Administrative Manager 801-261-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 6431271-3904) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |