| NPI | 1013301324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN SADLAK Owner 802-442-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0000505) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-12-23 |