| NPI | 1861959116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M GREENEN Owner 802-451-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2023-05-25 |