| NPI | 1972893485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE DRAPER Manager 435-619-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 3116693902) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |