Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 4317 | NE |
N | 101YP2500X | Professional Counselor | 2099 | NE |
Y | 102L00000X | Psychologist | 919 | NE |
Y | 103T00000X | Psychologist | 919 | NE |
N | 103TC1900X | Counseling Psychologist | 517 | NE |
NPI | 1033362082 |
---|---|
Provider Name | Ms. Anitra Morningstar Warrior |
First Address | Lincoln, NE 68506-1567 |
Second Address | Lincoln, NE 68506-2912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2008 |
Last Update Date | 02/02/2021 |