NPI | 1134668528 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI MCCARDELL-WENTWORTH Owner, Member 630-849-4350 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
225600000X Dance Therapist | |
Enumeration Date | 2017-02-17 |
Last Update Date | 2018-04-10 |