| NPI | 1700362944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA BAKER MILLER Owner 801-642-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 345396-3501) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-08-04 |