NPI | 1194133678 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA STEEN Licensed Psychologist Master 802-989-1836 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VT 047.0094717) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |