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 |