| NPI | 1356839112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE HANSON Licensed Psychologist / CEO 304-601-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WV 1112) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |