Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 9381 | NE |
NPI | 1003107681 |
---|---|
Provider Name | Adriana Niemann |
First Address | Omaha, NE 68107-1590 |
Second Address | Omaha, NE 68107-1590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2011 |
Last Update Date | 08/12/2016 |