| NPI | 1154708899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNI ROSEN Officemanager 847-448-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.008551) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.007103) |
| 103TC0700X Psychologist Clinical (Licence: IL 071.008588) | |
| 1041C0700X Social Worker Clinical | |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-11-13 |