| NPI | 1609255652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN AESOPH Therapist 402-214-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1395) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-07-28 |