| NPI | 1922550136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA SANDERSON President 801-360-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8493271-6004) |
| Additional Taxonomies | 251S00000X (Licence: UT 8493271-6004) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |