| NPI | 1013514991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN DAWN RENNER Owner/Manager 802-238-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-04-07 |