| NPI | 1356983399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA OLSON Owner 801-717-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |