| NPI | 1417789967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA R LIGHT Owner 801-663-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |