| NPI | 1871261909 |
|---|---|
| Other Name | TARA L GRAHAM SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | TARA GRAHAM Owner 802-881-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |