| NPI | 1518369990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN EG PAINE Psychotherapist 802-393-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890001191) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-11-05 |