| NPI | 1790155075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM PIOTROWSKI Licensed Psychologist Master 802-598-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VT 047.0100524) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |