| NPI | 1760924450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JUDITH DOHERTY Psychotherapist 802-825-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 89.0000877) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |