| NPI | 1730461278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE WHITE Psychologist Doctorate 802-505-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0074506) |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-09-11 |