| NPI | 1174397012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DANIELLE COOPER Owner/Therapist 308-440-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-12-29 |