| NPI | 1811355597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DIANE WYRICK Licensed Professional Counselor 304-487-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2021-07-02 |