| NPI | 1184800575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE PRATT Licensed Clinical Social Worker 801-484-8838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3382433501) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |