| NPI | 1467238238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY FABER Owner 801-699-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2024-03-19 |