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 |