| NPI | 1316904873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SODERQUIST Director 801-964-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT dhs10554) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT dhs10554) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |