| NPI | 1114454162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELE LEA RIBOH Lcpc Owner 847-607-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010899) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2022-01-25 |