| NPI | 1659868685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARIE SHEPARD Owner/Therapist 801-791-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 74257333501) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |