| NPI | 1437142288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC 537) |
| 106H00000X Marriage & Family Therapist (Licence: SD LMFT1015) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-03-23 |