| NPI | 1992167951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CARTER-BOOMSMA Mental Health Counselor 605-460-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SD lpcmh2229) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |