| NPI | 1003314840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MARCUS Owner/Therapist 708-638-6719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015628) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-03-17 |