| NPI | 1104643501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LILIA SOTO CEBALLOS Owner & Therapist 801-210-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |