| NPI | 1619025947 |
|---|---|
| Doing Business As | LIFE CHANGE |
| Entity Type | Organization |
| Authorized Contact | PENELOPE EICHER President Of LLC Marriage & Family 435-673-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 116677-3902) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-07-15 |