Myrna Suzanne Gillis, LAMFT Valid NPI

Individual provider · Marriage & Family Therapist · Provo, UT

NPI

1356778377

Type

Individual (Type 1)

Primary specialty

Marriage & Family Therapist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

106H00000X

License number

104100000X (UT)

Sex

Female

Sole proprietor

No

Enumerated

2013-10-04

Last updated

2017-01-24