| NPI | 1932551991 |
|---|---|
| Doing Business As | HEIDI PETERSON, LICSW |
| Entity Type | Organization |
| Authorized Contact | HEIDI PETERSON Owner 802-442-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |