| 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 |