| NPI | 1104314269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KIMBALL Social Worker/Owner 802-310-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0084650) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |