| NPI | 1912166828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA B FOSTER Owner 801-566-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 1383893501) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-08-20 |