| NPI | 1548718901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MAESER Therapist 801-747-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9813358-3502) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |