| NPI | 1477267789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIANE MADSEN DONAT Owner 801-896-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |