| NPI | 1871845685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNELL L CHRISTENSEN Owner 801-330-3651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 11209--3902) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 293367-6004) |
| 106H00000X Marriage & Family Therapist (Licence: UT 6972251-3902) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |