| NPI | 1467292003 |
|---|---|
| Doing Business As | DIANE FERN, LCSW |
| Entity Type | Organization |
| Authorized Contact | DIANE FERN Owner 402-617-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |