| NPI | 1770025918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HENDERSON Lcsw/Owner 801-971-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7089768-3501) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |