| NPI | 1639537632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA SICKLES Owner/Therapist 435-248-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9452890-3501) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |