| NPI | 1376916023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LEIGH THOMSEN Therapist 402-933-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2068) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |