| NPI | 1407930142 |
|---|---|
| Former Name | PEGGY L CASDORPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 40151) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-05-22 |