NPI | 1093115024 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY KALLMANN SPIEGEL Owner/Therapist 224-688-2277 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007275) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2014-08-27 |