| NPI | 1881095271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PETER Psychologist/Clinic Supervisor 402-572-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 4002) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |