| NPI | 1154658730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA J COURTNEY Psychotherapist 847-624-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004714) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |