| NPI | 1700249844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE SHEPHERD Owner Therapist 801-206-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9706026-0160) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |