Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003208778 |
---|---|
Provider Name | Corina Maher |
First Address | Boys Town, NE 68010-0382 |
Second Address | Omaha, NE 68154-2660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 01/02/2021 |