| NPI | 1700183704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KAY CHRISTOFFERSEN Sole Owner 435-272-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: UT 7752010-2501) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-05-09 |