| NPI | 1538538525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH WHITTAKER Owner 801-272-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 130283-3501) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2015-09-19 |