| NPI | 1649602442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MATHEWSON Sole Member 801-864-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5809201-3501) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |