| NPI | 1669801908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH GRACE MIRMIRAN Owner 402-595-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1169) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |