| NPI | 1235800210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SMITH Office Manager 801-865-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |