| NPI | 1962714576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA T SILVA Owner 801-796-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT UT 262048-3501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 5848600-6004) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2012-12-27 |