| NPI | 1114881786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZETUNE DORFMAN Marriage & Family Therapist 773-217-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |