| NPI | 1336012806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA KEI OTANI Marriage And Family Therapist 801-901-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-01-12 |