| NPI | 1053994897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CARBAJAL Member 801-989-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-09-18 |