| NPI | 1053081182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA B STIRE Sole Mbr / Licensed Psychologist 304-692-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |