| NPI | 1184050304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KRISTEN OSTERMAN Psychologist/Counselor 304-886-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1020) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1895) |
| 101YP2500X Counselor, Professional (Licence: MD LC4395) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |