| NPI | 1821060302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SD LPC MH 2040) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD 9804992) |
| 106H00000X Marriage & Family Therapist (Licence: LMFT 1137) | |
| 163W00000X Registered Nurse (Licence: SD RO15085) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-06-22 |