| NPI | 1013417914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN RUTH MARTIN Mental Health Counselor 802-448-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0102645) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |