| NPI | 1104955459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT HJERTQUIST President 708-704-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000495) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |