| NPI | 1881159648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE BINGHAM Owner/Therapist 801-452-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |