| NPI | 1992255970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY OWEN Director 801-566-0749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 8003723-3501) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |