| NPI | 1427598200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN RICKARD Clinical Psychologist 802-498-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 0480059488) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-03-03 |