| NPI | 1306382080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LASKOWSKI Mental Health Therapist 801-696-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT LIC2016-03807) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-07-06 |