| NPI | 1063238988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LAI WAI KUEN Licensed Clinical Professional Coun 224-412-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |