| NPI | 1851162820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M MARTENSEN Owner 801-885-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |