| NPI | 1063912152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAMPUZANO Licensed Clinical Prof Counselor 847-510-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011340) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-05-31 |