| NPI | 1043083058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CATE Owner 802-999-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |