NPI | 1134666555 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA H BERMAN Psychotherapist 847-604-1848 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180005362) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2017-01-23 |