The Tyler County Sheriff's office is investigating a fatal head on collision that happened near the intersection of State Route 2 and Wells Hill Road on Sunday.
Police said Pamela Ruble, 53, of St. Mary's died at Sistersville General Hospital.
Ruble and her passenger, 58-year-old Terry Ruble, also of St. Mary's, were both trapped in the car that was heading south.
The other car according to authorities ,driven by 56 year old Debra McKown of Normantown, West Virginia, was heading north.
Police said the two collided, blocking the southbound lane.
Authorities said the accident happened Sunday afternoon.