NPI | 1841969482 |
---|---|
Other Name | CAROLYN BASILIERE |
Entity Type | Organization |
Authorized Contact | CAROLYN EDWARDS BASILIERE Psychologist 802-657-3647 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2021-09-08 |
Last Update Date | 2021-09-08 |