| NPI | 1467273334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS KEALANOHEA KANE Owner 801-609-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |