| NPI | 1669589859 |
|---|---|
| Former Name | DUSTIN CAMILLE ROLFSNESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 896 LAC) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT 854 LCPC) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |