| NPI | 1407667074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY LOTULELEI CEO 801-979-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |