NPI | 1972875961 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL KNIGHT-DUNKLEY Licensed Psychologist 304-237-2897 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 1042) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-02-06 |