| NPI | 1104266485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MIRO Owner/Therapist 312-402-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000826) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2016-02-26 |