| NPI | 1669128104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WHITAKER Owner And Provider 802-552-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-05-21 |