| NPI | 1396339347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE HOLDEN Owner 802-272-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |