| NPI | 1982038238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY BROOKE JAMESON President 801-350-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: UT 277000-2501) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |