NPI | 1093961278 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE E RUSHFORTH Sole Member Of LLC 802-658-4208 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047-0000735) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |