NPI | 1952799694 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MARY STEPHEN Psychologist 802-355-9299 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VT 048-0000778) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2019-06-13 |