| NPI | 1821411133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HOLMGREN Owner 435-730-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 67841063902) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |