NPI | 1285224394 |
---|---|
Doing Business As | BLYTHE GOULD, LMHC |
Entity Type | Organization |
Authorized Contact | BLYTHE GOULD Owner 802-324-4233 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |