| NPI | 1013154129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE OLIVAS Owner 773-957-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000734) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-03-10 |