| NPI | 1821269002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HANSON Psychologist 801-278-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: UT 901159852501) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |