| NPI | 1689753634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH GAIL BOTHERN President 402-483-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NE 314) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |