NPI | 1811100597 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY ENGELLAND WILSON Owner/Psychologist 304-302-2467 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103T00000X Psychologist (Licence: WV 752) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-11-09 |