| NPI | 1174829808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LOUISE MALOOF Owner 801-485-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 1413623501) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2013-10-22 |