| NPI | 1851233282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA JEAN REYES Owner/Psycholoigst 801-232-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |