NPI | 1154916823 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON RICKS President 801-695-9955 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
133V00000X Dietitian, Registered | |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-03-04 |