| NPI | 1497054506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORRILL Psychologist 801-209-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 5637060-2501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |