| NPI | 1013310945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA EASTON Practice Owner And Manager 312-622-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008978) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |