| NPI | 1538411640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH C DALY Sole Member 802-338-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0000186) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |