| NPI | 1346645223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPRIYA SHANTI Founder, Therapist 802-451-6598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.009440) |
| Additional Taxonomies | 251S00000X (Licence: VT 089.009440) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-08-31 |