NPI | 1962815845 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY I GRAYSON Therapist/Owner 801-451-8797 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7685407-3501) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |