| NPI | 1013373547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA MARIE ORTIZ Lcpc 773-612-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005687) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |