| NPI | 1164218715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CARLISLE Owner, Art Therapist, Counselor 815-545-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |