| NPI | 1619750916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL JEAN LITTLE-OSBERG Practice Manager 402-403-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |