| NPI | 1164010203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE BURNS Co Founder, Therapist 815-735-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-06 |