Individual
ASI PILIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13073 S WHEATFIELD WAY, DRAPER, UT 84020-9253
(801) 495-0946
Mailing address
2033 W APPLE FARMS RD, WEST VALLEY CITY, UT 84119-6193
(385) 297-1144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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