| NPI | 1982898094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PAXMAN Office Manager 435-688-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 3402193902) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-09-27 |