Individual
KAITLIN IRENE ZURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
097.0120413
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047.0133680
STATE OF VERMONT
VT
Enumeration date
08/04/2016
Last updated
04/27/2020
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