| NPI | 1558238931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA LOUISE GARDNER Licensed Clinical Social Worker 802-777-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-22 |