| NPI | 1841518933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA KAY WALLACE Owner/Therapist 308-221-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 583) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |