| NPI | 1013411156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN ADDIE CUMMINS President/Therapist 435-279-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7763855-3501) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |