| NPI | 1003340779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE ALEGRA TUDY Clinical Director 847-946-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000785) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010922) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |