| NPI | 1386941425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHARINA H KANG Psychologist 801-593-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 3539922501) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-04-19 |