| NPI | 1215548748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE ELIZABETH SULLIVAN Psychotherapist 402-995-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-17 |