| NPI | 1033592530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE RODRIGUEZ-MARCH Owner / Clinician 801-414-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 49173766004) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |