| NPI | 1093221335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M ROTH Owner/Therapist 605-838-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC2277) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |