NPI | 1063937324 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE HENOCH Co Owner/Psychotherapist 847-348-9501 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018710) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010359) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2017-11-13 |