| NPI | 1124558317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LAMBERT Office Manager 801-856-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 308298-3501) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-05-25 |