| NPI | 1003341512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HOLMGREEN Psychologist/Owner 402-858-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 853) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NE 853) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NE 853) | |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-04-22 |