| 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 |