| NPI | 1417328030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JUNE LATU Owner 801-885-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7114496-3501) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |