| NPI | 1164165767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELITZA LAUTERWASSER Owner 224-627-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-06-15 |