| NPI | 1407205339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDIE J HOLMSTROM Owner/ Licensed Professional Counse 605-377-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD LPCMH2309) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD LPC 7375) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2017-01-31 |