| NPI | 1093474652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARIE DOMINGUEZ Co Founder/Psychotherapist 773-373-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 225600000X Dance Therapist | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2023-10-02 |