| NPI | 1043036775 |
|---|---|
| Doing Business As | MICHELE PETERSON LCSW |
| Entity Type | Organization |
| Authorized Contact | MICHELE PETERSON President 435-817-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |